Individual
CARRIE MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5 LONG LN STE 2, ELLSWORTH, ME 04605-1734
(207) 619-1172
Mailing address
101 CROSS RD, STETSON, ME 04488-3101
(207) 852-8438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1818
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414160099
—
ME
Enumeration date
05/16/2008
Last updated
10/03/2023
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